Medicare Enrolled
Dr. Juan Silva, MD
Family Medicine · Los Angeles, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Silva from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Silva
Dr. Juan Silva is a family medicine specialist in Los Angeles, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Silva performed 1,857 Medicare services across 1,098 unique beneficiaries.
Between the years covered by Open Payments, Dr. Silva received a total of $12,836 from 43 pharmaceutical and/or device companies across 463 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Silva is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 11% volume in CA
$12,836 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,857
Medicare services
Top 11% in CA for family medicine
1,098
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~98 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
323 | $127 | $218 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
229 | $98 | $169 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
174 | $92 | $163 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
141 | $144 | $250 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
122 | $0 | $15 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
94 | $0 | $20 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
78 | $8 | $23 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
74 | $31 | $31 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
73 | $1 | $25 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
69 | $27 | $79 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
67 | $71 | $79 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
55 | $60 | $111 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
52 | $68 | $169 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
46 | $0 | $15 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
43 | $149 | $237 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
33 | $20 | $31 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
33 | $68 | $127 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
25 | $47 | $67 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
22 | $36 | $62 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
18 | $22 | $62 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
14 | $12 | $26 |
| Annual depression screening | 14 | $21 | $25 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
13 | $25 | $25 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
12 | $35 | $35 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
11 | $281 | $350 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
11 | $31 | $31 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
11 | $183 | $400 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$12,836
Total received (2018-2024)
Avg $1,834/year across 7 years
Top 3% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
463
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,545 (74.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,291 (25.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,548
2023
$1,452
2022
$3,953
2021
$1,452
2020
$1,542
2019
$1,480
2018
$1,408
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$330
Novo Nordisk Inc
$190
Corcept Therapeutics
$179
Lilly USA, LLC
$119
Boehringer Ingelheim Pharmaceuticals, Inc.
$89
AstraZeneca Pharmaceuticals LP
$85
PFIZER INC.
$83
Merck Sharp & Dohme LLC
$71
Amgen Inc.
$69
Exact Sciences Corporation
$57
Otsuka America Pharmaceutical, Inc.
$52
Bayer Healthcare Pharmaceuticals Inc.
$50
Abbott Laboratories
$37
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$30
GlaxoSmithKline, LLC.
$25
Lundbeck LLC
$22
SANOFI PASTEUR INC.
$21
Phathom Pharmaceuticals, Inc.
$21
Xeris Pharmaceuticals, Inc.
$17
Top 3 companies account for 45.2% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$3,621
Novo Nordisk Inc
$991
Corcept Therapeutics
$920
Boehringer Ingelheim Pharmaceuticals, Inc.
$899
AbbVie Inc.
$692
Lilly USA, LLC
$615
PFIZER INC.
$602
AstraZeneca Pharmaceuticals LP
$559
Janssen Pharmaceuticals, Inc
$498
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$406
AbbVie, Inc.
$351
Merck Sharp & Dohme LLC
$346
SANOFI-AVENTIS U.S. LLC
$324
Abbott Laboratories
$305
SANOFI PASTEUR INC.
$139
Amarin Pharma Inc.
$133
Amgen Inc.
$115
Novartis Pharmaceuticals Corporation
$111
Xeris Pharmaceuticals, Inc.
$102
Medtronic Vascular, Inc.
$100
Horizon Therapeutics plc
$95
ARBOR PHARMACEUTICALS, INC.
$94
Merck Sharp & Dohme Corporation
$89
Radius Health, Inc.
$81
E.R. Squibb & Sons, L.L.C.
$62
Exact Sciences Corporation
$57
GlaxoSmithKline, LLC.
$53
Otsuka America Pharmaceutical, Inc.
$52
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$51
Bayer Healthcare Pharmaceuticals Inc.
$50
Gilead Sciences, Inc.
$48
Medtronic, Inc.
$43
Phadia US Inc.
$31
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$30
Zealand Pharma US, Inc.
$30
Arbor Pharmaceuticals, Inc.
$25
Lundbeck LLC
$22
IDORSIA PHARMACEUTICALS US INC
$21
Phathom Pharmaceuticals, Inc.
$21
Hikma Pharmaceuticals USA
$14
Ferring Pharmaceuticals Inc.
$13
Sanofi Pasteur Inc.
$12
Breathe Technologies, Inc.
$11
Top 3 companies account for 43.1% of all-time payments
Associated products mentioned in payments ›
AREXVY · BAQSIMI · BASAGLAR · BELSOMRA · BEYFORTUS · CAPLYTA · CHANTIX · COMIRNATY · CREON · Cologuard Collection Kit · CoreValve Evolut · Creon · DIFICID · Descovy · ELIQUIS · EMGALITY · ENTRESTO · EUFLEXXA · Edarbi · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL · GVOKE HYPOPEN · Horizant · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · Korlym · LINZESS · Life2000 Ventilation System · LifeVest · MENACTRA · MENQUADFI · MOUNJARO · Minimed 770G System · Mitigare · Ozempic · PAXLOVID · PENNSAID · PENTACEL · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · QULIPTA · QUVIVIQ · REXULTI · RINVOQ · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TRUMENBA · Truvada · Tymlos · UBRELVY · V-GO DISPOSABLE INSULIN DELIVERY · VAXELIS · VERQUVO · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · ZEGALOGUE · ZEPBOUND
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (74%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
3,511
Per 100K population
35.7
County median income
$87,760
Nearest hospital
ADVENTIST HEALTH WHITE MEMORIAL
2.4 mi
2.4 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Silva is a clinical cardiology specialist, with above-average Medicare volume (top 11% in CA), with low-engagement industry engagement in the top 3% of CA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Silva experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Silva performed 323 office visit, established patient, complex (40-54 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Silva receive payments from pharmaceutical companies?
Yes. Dr. Silva received a total of $12,836 from 43 companies across 463 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Silva's costs compare to other family medicine physicians in Los Angeles?
Dr. Silva's average Medicare payment per service is $72. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Silva) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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